person
Crystal Jackson, LCASA
Mental Health Counselor in Charlotte, North Carolina
NPI 1336560861

Crystal Jackson is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Crystal Jackson practices in Charlotte, NC and has the professional credentials of LCASA. The NPI Number for Crystal Jackson is 1336560861 and holds a License No. (North Carolina).

The current practice location address for Crystal Jackson is 9008 Broad Ridge Ct, Charlotte, NC and can be reached out via phone at 336-254-8677.

Location: 9008 Broad Ridge Ct, Charlotte, NC, 28269-5199
person
Provider Profile Details
NPI Number
1336560861
Provider Name
Crystal Jackson
Credential
LCASA
Provider Entity Type
Individual
Gender
Female
Address
9008 Broad Ridge Ct, Charlotte, NC, 28269-5199
Phone Number
336-254-8677
Fax Number
Provider Enumeration Date
12/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9008 Broad Ridge Ct
City
State
Zip
28269-5199
Phone Number
336-254-8677
Fax Number
person
Provider Business Mailing Address Details
Address
9008 Broad Ridge Ct
City
State
Zip
28269-5199
Phone Number
336-254-8677
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3432-A (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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